SSA uses the information on Form SSA-4-BK to determine entitlement for children of living and deceased workers to monthly Social Security payments. Respondents are guardians completing the form on behalf of the children of living or deceased workers, or the children of living or deceased workers. Respondents can complete Form SSA 4 BK and mail it back to SSA, or an SSA employee can interview respondents and enter information into out Modernized Claims Systems (MCS), and Preliminary Claims System (PCS).
The latest form for Application for Child's Insurance Benefits expires 2022-12-31 and can be found here.
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Form |
Form |
Form |
Form |
Supplementary Document |
Supporting Statement A |
Federal Enterprise Architecture: Income Security - General Retirement and Disability
Form SSA-4-BK | Application for Child's Insurance Benefits | Paper Only | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.